Dr. Hu Ziren reply Oncology Question - Page 9

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Understanding Desmoid Tumors: Concerns and Care for Patients

Small intestinal fibroma My father (72 years old) has been in and out of Chi Mei Hospital since the end of March this year, and as of May 7, he has not been discharged. His first surgery was a minimally invasive abdominal procedure, where the doctor mentioned that three incisions...


Dr. Hu Ziren reply Oncology
1. Inability to eat may be caused by adhesions resulting from surgery. 2. If the adhesions are removed and gastrointestinal function is normal, with no persistent vomiting or normal bowel movements, then the patient can gradually resume eating. 3. If the physician advises again...

[Read More] Understanding Desmoid Tumors: Concerns and Care for Patients


Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options

Lymphadenopathy Last November, I was diagnosed with stage 2 thyroid cancer (2.5 cm) and underwent a total lobectomy. However, I discovered a round mass in the upper left neck that is not painful and feels immobile. I have no other discomfort in my body. In mid-November, I also re...


Dr. Hu Ziren reply Oncology
If there is a metastasis to the lymph nodes, it is recommended to first perform a lymphadenectomy, and then consider treatment with iodine-131 or radiation therapy. As for other concerns (such as bleeding risks, surgical risks, etc.), it is advisable to discuss them with the prim...

[Read More] Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options


Red Swelling 10cm Below the Navel: Which Specialist to Consult?

There is a red and swollen area about 10 cm below the navel? You should see a specialist in Gastroenterology or General Surgery for a swollen and red area about 10 cm below the navel.


Dr. Hu Ziren reply Oncology
General Surgery

[Read More] Red Swelling 10cm Below the Navel: Which Specialist to Consult?


Which Specialist Should I See for a Neck Tumor and Numbness?

Which specialty should I see? You should see a neurologist.


Dr. Hu Ziren reply Oncology
You can see general surgery, plastic surgery, or neurosurgery.

[Read More] Which Specialist Should I See for a Neck Tumor and Numbness?


Understanding Prolonged APTT in Children: What Parents Should Know

Blood Disorders / Prolonged APTT Time in Children Hello, doctor. My son is seven years old this year! In October 2019, he had a fever due to influenza, and there were some red spots on his hands. The clinic doctor suspected they were petechiae and recommended checking his coagula...


Dr. Hu Ziren reply Oncology
It is advisable to consult a pediatric hematologist. Laboratory values can fluctuate due to different testing times or varying physiological conditions. A difference of more than 10 seconds is clinically significant—this means that if the difference exceeds 10 seconds, it is more...

[Read More] Understanding Prolonged APTT in Children: What Parents Should Know


Do You Suspect a Pituitary Tumor? Understanding Diagnosis and Next Steps

Is there a concern for a pituitary tumor? Hello, Doctor: Since I started my menstrual cycle, my periods have been irregular, and in the past two to three years, the frequency of my menstruation has decreased significantly. After taking ovulation medication for three months in the...


Dr. Hu Ziren reply Oncology
A skull X-ray is only used to examine the bones of the head; are you referring to a brain CT scan? If it is a CT scan, it can visualize the actual structures of the brain. If a scan was performed a year ago and no abnormalities of the pituitary gland (such as a tumor) were found,...

[Read More] Do You Suspect a Pituitary Tumor? Understanding Diagnosis and Next Steps


Understanding Monoclonal Gammopathy: Risks and Management Strategies

Unexplained monoclonal protein abnormalities My mother was informed during a blood test at Taipei Veterans General Hospital that her IgG levels were elevated (first test 1685, second test 1698) and her Kappa/Lambda ratio (approximately 20 in the first test, about 22 in the second...


Dr. Hu Ziren reply Oncology
This condition cannot be prevented; subsequent follow-up is more important. If concerned, it is advisable to return for a check-up every six months. If any of the following situations occur, it is recommended to schedule an earlier appointment: worsening kidney function (decrease...

[Read More] Understanding Monoclonal Gammopathy: Risks and Management Strategies


Swollen Lump Under Left Armpit: Which Specialist to Consult?

There is a lump under the left armpit? Hello doctor, I have noticed a lump under my left armpit over the past three days. It feels like a ball when I raise my arm, but I can hardly feel it when my arm is down. However, it is painful when pressed. I have read that it is recommende...


Dr. Hu Ziren reply Oncology
It is recommended to observe for a month or more (1-3 months). If there is no spontaneous resolution or if it increases in size, it is advisable to consult a general surgeon.

[Read More] Swollen Lump Under Left Armpit: Which Specialist to Consult?


Understanding Neck Lumps: When to See a Specialist for Concerns

I felt a lump in my neck? Hello doctor, a few days ago I felt something on the left side of my neck that is soft and movable. When I press on it, it feels a bit sore, but not too painful. I noticed it after feeling some warmth and pain in my neck while sleeping. Additionally, I s...


Dr. Hu Ziren reply Oncology
It may just be localized inflammation causing lymphadenopathy; observation is recommended. It also seems to be related to the menstrual cycle.

[Read More] Understanding Neck Lumps: When to See a Specialist for Concerns


Understanding Anemia in Oncology: Is a Hemoglobin Level of 9.8 Serious?

Anemia issues Dear Doctor, my previous blood test report indicated that I have anemia, with a hemoglobin level of 9.8. Is this value considered very low? Is it serious? What could happen if I ignore it?


Dr. Hu Ziren reply Oncology
For a 33-year-old woman, a level of 9.8 is somewhat low. It is recommended to first consult a hematologist to investigate the cause of anemia. Identifying the underlying cause is essential for appropriate treatment.

[Read More] Understanding Anemia in Oncology: Is a Hemoglobin Level of 9.8 Serious?


Small Hard Lump on Inner Thigh: Should You Worry About Tumors?

There is a small hard lump on the inner side of the right thigh near the groin? Hello Doctor, I recently discovered a small lump about 1.5 centimeters in size on the inner side of my right thigh. It can be pinched and is painful when pressed, and it feels like there is a small pa...


Dr. Hu Ziren reply Oncology
It may just be lymphadenitis; observation is recommended. However, if it continues to enlarge and is accompanied by systemic symptoms (such as recurrent fever, night sweats, weight loss, etc.), it is advisable to see a general surgeon or an obstetrician-gynecologist.

[Read More] Small Hard Lump on Inner Thigh: Should You Worry About Tumors?


Understanding Groin Lumps: When to Worry About Tumors or Infections

Inguinal mass About two months ago, I first noticed a hard lump approximately 4 centimeters in size in the groin area of my left leg. It feels soft on the surface but is hard at the base and painful when pressed, giving a sensation of being connected to other areas. After a few d...


Dr. Hu Ziren reply Oncology
Recurrent episodes that come and go; it is recommended to first consult a general surgeon.

[Read More] Understanding Groin Lumps: When to Worry About Tumors or Infections


Understanding Lumps Under the Armpits: Inflammation or Something More?

There are hard lumps on both sides of the armpits? Last year, I experienced pain under my left armpit, and when pressed, I could feel a lump that was also purulent. At that time, I went to a clinic and applied medication, which resolved the issue. On the right side, there was a l...


Dr. Hu Ziren reply Oncology
A painful lump in the armpit that is purulent is likely just folliculitis or another localized subcutaneous inflammation. It is recommended to monitor the condition.

[Read More] Understanding Lumps Under the Armpits: Inflammation or Something More?


Understanding Blood Test Results: Concerns About Lymphocytes and Leukemia

Blood test Hello Dr. Hu, I would like to ask you about my blood test results. My WBC is 4.43, Neutrophils segmented 27.0, Lymphocytes 56.0, Monocytes 9.0, Eosinophils 5.0, Basophils 0.0, and Atypical lymphocytes 3.0. In August of this year, I also had a WBC test done at my family...


Dr. Hu Ziren reply Oncology
Atypical lymphocytes are a transient physiological response caused by viral infections and are not malignant. Therefore, it is recommended to wait until the cold has resolved or to have blood drawn for follow-up after three months.

[Read More] Understanding Blood Test Results: Concerns About Lymphocytes and Leukemia


Understanding Left Groin Lumps: When to Seek Medical Advice

Left groin mass? Hello Doctor, today I accidentally felt a small round lump on the left side of my groin (above the pubic hair). It's less than one centimeter in size, not visible on the surface, and difficult to palpate. Sometimes it disappears and sometimes it appears; it ...


Dr. Hu Ziren reply Oncology
It may only be the lymph nodes; it is recommended not to press on them constantly and just to observe.

[Read More] Understanding Left Groin Lumps: When to Seek Medical Advice


Understanding Lumps Under the Armpit: When to See a Specialist

There is a hard lump in the armpit? Hello, I noticed a hard lump in my armpit about two to three weeks ago. It looks a bit red and feels slightly swollen; it hurts when I press on it. A few days ago, I felt a slight sharp pain when I touched my chest. The size is approximately 1 ...


Dr. Hu Ziren reply Oncology
It may just be folliculitis; you can consult a gynecologist.

[Read More] Understanding Lumps Under the Armpit: When to See a Specialist


Understanding Causes of Normocytic Anemia: Is It Myeloma or Throat Bleeding?

The causes of normocytic anemia can vary, but in your case, the most likely reasons could include chronic disease, acute blood loss, or renal insufficiency? Hello Doctor, on August 22nd of this year, I suddenly experienced significant bleeding from my throat, with more than four ...


Dr. Hu Ziren reply Oncology
Causes of normocytic anemia may include bleeding or hemolysis; it appears to be acute anemia caused by hematemesis. It is recommended to follow up with further testing after three months, provided there are no discomforting symptoms.

[Read More] Understanding Causes of Normocytic Anemia: Is It Myeloma or Throat Bleeding?


Understanding Renal Hemangiomas: Growth, Treatment, and Specialist Guidance

Renal angioma 1. In October 2019, during my health check-up, an ultrasound examination revealed a 1 cm benign hemangioma on my kidney. In October of this year, another ultrasound indicated that the benign hemangioma has grown to 1.3 cm. Is this growth considered rapid? 2. Is sur...


Dr. Hu Ziren reply Oncology
1. Are you referring to renal hemangioma or renal angiomyolipomas? If it is renal hemangioma, it is quite rare, and renal angiography is required for diagnosis. 2. Unless there is significant hematuria or symptoms (such as compression of other organs or tissues), benign tumors ty...

[Read More] Understanding Renal Hemangiomas: Growth, Treatment, and Specialist Guidance


Understanding Painful Lumps: Lymphoma or Acne?

Subcutaneous edema Hello, doctor: Recently, I noticed a bump the size of a one-dollar coin that suddenly appeared in the lower abdomen. It is painful to touch, and when pressed, it bleeds and releases yellow fluid with a foul odor. Even when not pressed, there is discharge coming...


Dr. Hu Ziren reply Oncology
It is likely just folliculitis; it is recommended to maintain hygiene and monitor the condition.

[Read More] Understanding Painful Lumps: Lymphoma or Acne?


Painful Armpit Lumps: Causes and When to See a Dermatologist

Painful lump in the armpit? Recently, I have developed painful lumps under both armpits that hurt when touched or rubbed. What could be the cause of this? Would seeing a dermatologist be helpful? I have had lumps before, but they were due to eating fried foods, and I haven't...


Dr. Hu Ziren reply Oncology
It may just be folliculitis; I recommend seeing a dermatologist.

[Read More] Painful Armpit Lumps: Causes and When to See a Dermatologist


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